| Aortic aneurysm with valvular insufficiency: Is it due to Marfan syndrome or hypertension? A case report and review of literature. | |
MedLine Citation:
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PMID: 21315290 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Aortic aneurysm can result from both Marfan syndrome (MFS) and hypertension. Hypertension is more easily detected by the use of ubiquitous sphygmomanometer but MFS diagnosis requires a summation of a set of clinical features, including increased cardiac output from aortic regurgitation. A common complication of aortic aneurysm may result in apparent elevation in systolic pressure in a MFS patient with aortic root dilatation and regurgitation. Thus a patient with MFS presenting with aortic regurgitation may be misdiagnosed as having hypertensive heart disease. Clinical case presentation of a 47-year-old woman referred to the cardiology unit with the diagnosis of aortic aneurysm with regurgitation secondary to hypertension was found to have MFS. Relevant literature on diagnostic criteria of MFS and differences in aortic root disease secondary to MFS and that secondary to hypertension was reviewed. Physicians should have a high index of suspicion and consider MFS as a differential diagnosis of aortic aneurysm, especially in younger patients. |
Authors:
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Augustine N Odili; Ganiyu A Amusa |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing Volume: 29 ISSN: 1532-6578 ISO Abbreviation: J Vasc Nurs Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-02-14 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9014475 Medline TA: J Vasc Nurs Country: United States |
Other Details:
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Languages: eng Pagination: 16-22 Citation Subset: N |
Copyright Information:
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Copyright © 2011 Society for Vascular Nursing, Inc. Published by Mosby, Inc. All rights reserved. |
Affiliation:
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Department of Internal Medicine, College of Health Science, University of Abuja, Abuja, Nigeria. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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